Top 10 largest DSOs headed into 2025

The top 10 largest DSOs in the U.S. support more than 6,800 dental offices combined.

Here are 10 of the largest DSOs and MSOs in the U.S. by number of affiliated or supported dental practices.

Contact Ariana Portalatin at aportalatin@beckershealthcare.com with questions or updates for this list.

1. Heartland Dental — More than 1,700 practices 

2. The Aspen Group — More than 1,300 practices

3. PDS Health — More than 1,000 practices

4. Smile Brands — More than 600 practices

5. MB2 Dental — More than 700 practices

6. Sonrava Health — nearly 600 offices

7. Affordable Care — More than 450 practices

8. Smile Doctors — More than 450 practices

9. Dental Care Alliance — More than 400 practices

10. Great Expressions Dental Centers — 246 practices

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